Care Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide care coordination for members of Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plans (DSNP).

• Establish trusted relationships to enhance the member experience positively.

• Assist members in accessing appropriate healthcare through health plans, providers, pharmacies, vendors, and community-based organizations.

• Evaluate members’ medical and social needs, including Social Determinants of Health.

• Conduct outreach efforts to motivate, educate, and facilitate members regarding program benefits.

• Perform telephone and/or text assessments, and collaborate with members to develop care plans.

• Assess member care needs and relay medical information to healthcare professionals.

• Manage a caseload, ensuring timely contact with each member.

• Coordinate care with providers and arrange appointments as necessary.

• Encourage members to engage actively in their health and overall well-being.

• Identify and address needs related to Social Determinants of Health.

• Organize and complete correspondence following established workflows.

• Accurately document actions within a care management platform.

• Conduct a high volume of outreach to members, families, providers, and other stakeholders.

• Effectively collaborate with diverse populations while demonstrating cultural awareness and ongoing learning.

• Advocate for, support, and motivate members in managing their health and healthcare.

• Foster positive working relationships with members, families, providers, and external partners.

• Build trust, actively listen, communicate purposefully, collaborate, and solve problems.

• Influence others towards achieving positive outcomes.

⛳️ Requirements

• Minimum of 2 years of experience as a care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker.

• A dedicated home office setup for remote work.

• At least 1 year of remote work experience.

• Experience working with Medicaid and/or Dual Eligible patients.

• Strong interpersonal, communication (both verbal and written), and problem-solving abilities.

• Familiarity with engaging customers over the phone and via text message.

• Preferred experience with Apple computers (i.e., MacBook).

• Experience in documenting case notes in a care management or electronic health record platform.

• Knowledge of motivational interviewing techniques.

• Bilingual fluency in Spanish is preferred.

• Availability for full-time work, Monday through Friday, from 8:30 AM to 4:30 PM CST.

🏝️ Benefits

• Competitive compensation packages.

• 401(k) plan with employer matching contributions.

• Comprehensive medical, dental, and vision insurance, including a fully employer-paid option.

• Paid time off, paid sick leave, and paid holidays.

• 100% remote work opportunity from your dedicated home office.

• Extensive training and development programs.

• Fully employer-paid short-term disability, long-term disability, and basic life insurance.

• Health Savings Plan with employer contributions.

• Employee assistance program (EAP).